Sarcopenia: European consensus on definition and diagnosis
Identifieur interne : 000D63 ( Main/Exploration ); précédent : 000D62; suivant : 000D64Sarcopenia: European consensus on definition and diagnosis
Auteurs : Alfonso J. Cruz-Jentoft [Espagne] ; Jean Pierre Baeyens [Belgique] ; Jrgen M. Bauer [Allemagne] ; Yves Boirie [France] ; Tommy Cederholm [Suède] ; Francesco Landi [Italie] ; Finbarr C. Martin [Royaume-Uni] ; Jean-Pierre Michel [Suisse] ; Yves Rolland [France] ; Stphane M. Schneider [France] ; Eva Topinkov [République tchèque] ; Maurits Vandewoude [Belgique] ; Mauro Zamboni [Italie]Source :
- Age and Ageing [ 0002-0729 ] ; 2010-07.
Abstract
The European Working Group on Sarcopenia in Older People (EWGSOP) developed a practical clinical definition and consensus diagnostic criteria for age-related sarcopenia. EWGSOP included representatives from four participant organisations, i.e. the European Geriatric Medicine Society, the European Society for Clinical Nutrition and Metabolism, the International Association of Gerontology and GeriatricsEuropean Region and the International Association of Nutrition and Aging. These organisations endorsed the findings in the final document. The group met and addressed the following questions, using the medical literature to build evidence-based answers: (i) What is sarcopenia? (ii) What parameters define sarcopenia? (iii) What variables reflect these parameters, and what measurement tools and cut-off points can be used? (iv) How does sarcopenia relate to cachexia, frailty and sarcopenic obesity? For the diagnosis of sarcopenia, EWGSOP recommends using the presence of both low muscle mass + low muscle function (strength or performance). EWGSOP variously applies these characteristics to further define conceptual stages as presarcopenia, sarcopenia and severe sarcopenia. EWGSOP reviewed a wide range of tools that can be used to measure the specific variables of muscle mass, muscle strength and physical performance. Our paper summarises currently available data defining sarcopenia cut-off points by age and gender; suggests an algorithm for sarcopenia case finding in older individuals based on measurements of gait speed, grip strength and muscle mass; and presents a list of suggested primary and secondary outcome domains for research. Once an operational definition of sarcopenia is adopted and included in the mainstream of comprehensive geriatric assessment, the next steps are to define the natural course of sarcopenia and to develop and define effective treatment.
Url:
DOI: 10.1093/ageing/afq034
Affiliations:
- Allemagne, Belgique, Espagne, France, Italie, Royaume-Uni, République tchèque, Suisse, Suède
- Angleterre, Auvergne (région administrative), Auvergne-Rhône-Alpes, Bohême centrale, Communauté de Madrid, Grand Londres, Latium, Province d'Anvers
- Anvers, Clermont-Ferrand, Londres, Madrid, Nice, Prague, Rome, Toulouse
- Université d'Anvers
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Bauer</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Geriatric Medicine, University of Erlangen-Nrnberg, Nürnberg</wicri:regionArea><wicri:noRegion>Nürnberg</wicri:noRegion><wicri:noRegion>Nürnberg</wicri:noRegion></affiliation></author><author><name sortKey="Boirie, Yves" sort="Boirie, Yves" uniqKey="Boirie Y" first="Yves" last="Boirie">Yves Boirie</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Clermont Universit, UFR Mdecine, UMR 1019, F-63001 Clermont-Ferrand</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Cederholm, Tommy" sort="Cederholm, Tommy" uniqKey="Cederholm T" first="Tommy" last="Cederholm">Tommy Cederholm</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Institutionen fr Folkhlso- och Vrdvetenskap/Klinisk Nutrition och Metabolism, Uppsala Universitet, Uppsala</wicri:regionArea><wicri:noRegion>Uppsala</wicri:noRegion></affiliation></author><author><name sortKey="Landi, Francesco" sort="Landi, Francesco" uniqKey="Landi F" first="Francesco" last="Landi">Francesco Landi</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto di Medicina Interna e Geriatria, Universit Cattolica del Sacro Cuore, Roma</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Martin, Finbarr C" sort="Martin, Finbarr C" uniqKey="Martin F" first="Finbarr C." last="Martin">Finbarr C. Martin</name><affiliation wicri:level="3"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Ageing and Health, Guys and St Thomas' NHS Foundation Trust, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Michel, Jean Pierre" sort="Michel, Jean Pierre" uniqKey="Michel J" first="Jean-Pierre" last="Michel">Jean-Pierre Michel</name><affiliation wicri:level="1"><country xml:lang="fr">Suisse</country><wicri:regionArea>Dpartement de Rhabilitation et Griatrie, Hpitaux Universitaires de Genve, Geneva</wicri:regionArea><wicri:noRegion>Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Rolland, Yves" sort="Rolland, Yves" uniqKey="Rolland Y" first="Yves" last="Rolland">Yves Rolland</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Grontople de Toulouse, Hospital La Grave-Casselardit, Toulouse</wicri:regionArea><placeName><settlement type="city">Toulouse</settlement></placeName></affiliation></author><author><name sortKey="Schneider, Stphane M" sort="Schneider, Stphane M" uniqKey="Schneider S" first="Stphane M." last="Schneider">Stphane M. Schneider</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Gastroentrologie et Nutrition Clinique, CHU de Nice, Universit de Nice Sophia-Antipolis, Nice</wicri:regionArea><placeName><settlement type="city">Nice</settlement></placeName></affiliation></author><author><name sortKey="Topinkov, Eva" sort="Topinkov, Eva" uniqKey="Topinkov E" first="Eva" last="Topinkov">Eva Topinkov</name><affiliation wicri:level="3"><country xml:lang="fr">République tchèque</country><wicri:regionArea>Geriatrick Klinika 1 Lkask Fakulta, Univerzita Karlova v Praze, Prague</wicri:regionArea><placeName><settlement type="city">Prague</settlement><region type="région" nuts="2">Bohême centrale</region></placeName></affiliation></author><author><name sortKey="Vandewoude, Maurits" sort="Vandewoude, Maurits" uniqKey="Vandewoude M" first="Maurits" last="Vandewoude">Maurits Vandewoude</name><affiliation wicri:level="4"><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Geriatrics, University of Antwerp, Ziekenhuisnetwerk Antwerpen (ZNA), Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation></author><author><name sortKey="Zamboni, Mauro" sort="Zamboni, Mauro" uniqKey="Zamboni M" first="Mauro" last="Zamboni">Mauro Zamboni</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical and Surgical Sciences, Division of Geriatrics, University of Verona, Verona</wicri:regionArea><wicri:noRegion>Verona</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Age and Ageing</title><title level="j" type="abbrev">Age Ageing</title><idno type="ISSN">0002-0729</idno><idno type="eISSN">1468-2834</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2010-07">2010-07</date><biblScope unit="volume">39</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="412">412</biblScope><biblScope unit="page" to="423">423</biblScope></imprint><idno type="ISSN">0002-0729</idno></series><idno type="istex">89FE3BD846877F079845E5F1E46B5ABDB3DD19C2</idno><idno type="DOI">10.1093/ageing/afq034</idno><idno type="ArticleID">afq034</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-0729</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">The European Working Group on Sarcopenia in Older People (EWGSOP) developed a practical clinical definition and consensus diagnostic criteria for age-related sarcopenia. EWGSOP included representatives from four participant organisations, i.e. the European Geriatric Medicine Society, the European Society for Clinical Nutrition and Metabolism, the International Association of Gerontology and GeriatricsEuropean Region and the International Association of Nutrition and Aging. These organisations endorsed the findings in the final document. The group met and addressed the following questions, using the medical literature to build evidence-based answers: (i) What is sarcopenia? (ii) What parameters define sarcopenia? (iii) What variables reflect these parameters, and what measurement tools and cut-off points can be used? (iv) How does sarcopenia relate to cachexia, frailty and sarcopenic obesity? For the diagnosis of sarcopenia, EWGSOP recommends using the presence of both low muscle mass + low muscle function (strength or performance). EWGSOP variously applies these characteristics to further define conceptual stages as presarcopenia, sarcopenia and severe sarcopenia. EWGSOP reviewed a wide range of tools that can be used to measure the specific variables of muscle mass, muscle strength and physical performance. Our paper summarises currently available data defining sarcopenia cut-off points by age and gender; suggests an algorithm for sarcopenia case finding in older individuals based on measurements of gait speed, grip strength and muscle mass; and presents a list of suggested primary and secondary outcome domains for research. Once an operational definition of sarcopenia is adopted and included in the mainstream of comprehensive geriatric assessment, the next steps are to define the natural course of sarcopenia and to develop and define effective treatment.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Belgique</li><li>Espagne</li><li>France</li><li>Italie</li><li>Royaume-Uni</li><li>République tchèque</li><li>Suisse</li><li>Suède</li></country><region><li>Angleterre</li><li>Auvergne (région administrative)</li><li>Auvergne-Rhône-Alpes</li><li>Bohême centrale</li><li>Communauté de Madrid</li><li>Grand Londres</li><li>Latium</li><li>Province d'Anvers</li></region><settlement><li>Anvers</li><li>Clermont-Ferrand</li><li>Londres</li><li>Madrid</li><li>Nice</li><li>Prague</li><li>Rome</li><li>Toulouse</li></settlement><orgName><li>Université d'Anvers</li></orgName></list><tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Cruz Jentoft, Alfonso J" sort="Cruz Jentoft, Alfonso J" uniqKey="Cruz Jentoft A" first="Alfonso J." last="Cruz-Jentoft">Alfonso J. Cruz-Jentoft</name></region></country><country name="Belgique"><noRegion><name sortKey="Baeyens, Jean Pierre" sort="Baeyens, Jean Pierre" uniqKey="Baeyens J" first="Jean Pierre" last="Baeyens">Jean Pierre Baeyens</name></noRegion><name sortKey="Vandewoude, Maurits" sort="Vandewoude, Maurits" uniqKey="Vandewoude M" first="Maurits" last="Vandewoude">Maurits Vandewoude</name></country><country name="Allemagne"><noRegion><name sortKey="Bauer, Jrgen M" sort="Bauer, Jrgen M" uniqKey="Bauer J" first="Jrgen M." last="Bauer">Jrgen M. Bauer</name></noRegion></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Boirie, Yves" sort="Boirie, Yves" uniqKey="Boirie Y" first="Yves" last="Boirie">Yves Boirie</name></region><name sortKey="Rolland, Yves" sort="Rolland, Yves" uniqKey="Rolland Y" first="Yves" last="Rolland">Yves Rolland</name><name sortKey="Schneider, Stphane M" sort="Schneider, Stphane M" uniqKey="Schneider S" first="Stphane M." last="Schneider">Stphane M. Schneider</name></country><country name="Suède"><noRegion><name sortKey="Cederholm, Tommy" sort="Cederholm, Tommy" uniqKey="Cederholm T" first="Tommy" last="Cederholm">Tommy Cederholm</name></noRegion></country><country name="Italie"><region name="Latium"><name sortKey="Landi, Francesco" sort="Landi, Francesco" uniqKey="Landi F" first="Francesco" last="Landi">Francesco Landi</name></region><name sortKey="Zamboni, Mauro" sort="Zamboni, Mauro" uniqKey="Zamboni M" first="Mauro" last="Zamboni">Mauro Zamboni</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Martin, Finbarr C" sort="Martin, Finbarr C" uniqKey="Martin F" first="Finbarr C." last="Martin">Finbarr C. Martin</name></region></country><country name="Suisse"><noRegion><name sortKey="Michel, Jean Pierre" sort="Michel, Jean Pierre" uniqKey="Michel J" first="Jean-Pierre" last="Michel">Jean-Pierre Michel</name></noRegion></country><country name="République tchèque"><region name="Bohême centrale"><name sortKey="Topinkov, Eva" sort="Topinkov, Eva" uniqKey="Topinkov E" first="Eva" last="Topinkov">Eva Topinkov</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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